Thrombectomy/inf pq dialysis circuit at Mercy General Hospital
4001 J St., Sacramento, CA · CommonSpirit Health · · NPI 1487694857
$5,304.82
Cash price Discounted cash price What a hospital charges a self-pay patient who pays directly, without going through insurance — usually well below the gross charge. Example: A CT scan has a $3,200 gross charge but an $850 discounted cash price. Ask for it by name when scheduling — hospitals don't always advertise it up front.
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What you pay up front if you don't use insurance.
$24,334.00
Gross charge Gross charge (chargemaster price) The hospital's full, undiscounted list price — pulled from its internal "chargemaster" price list. Almost no one actually pays this. Example: A chest X-ray has a gross charge of $1,450. The same hospital's discounted cash price for the same X-ray is $180 — the gross charge mostly anchors negotiations, not what patients pay.
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The hospital's undiscounted list price — almost no one pays this.
$351.54 with Hill Physicians vs $23,361.00 with United — same scan, same building. Share
Negotiated rates by payer
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →Payer ?Payer The insurance company footing the bill — Aetna, UnitedHealthcare, Medicare, and so on. Example: "Blue Cross Blue Shield" is the payer. Its negotiated rate for an MRI might be $904, while a different payer's negotiated rate for the same scan is $1,509. Full explanation → |
Plan ?Plan The specific product an insurer sells — e.g. "Blue Cross PPO 500" — which sets your deductible, coinsurance and negotiated rates. Example: Two people both insured by Aetna can owe very different amounts for the same MRI: $50 with an HMO plan's flat copay, or the full $1,200 toward a high-deductible PPO plan's unmet deductible. Full explanation → |
Negotiated rate | vs. cash |
|---|---|---|---|
| Hill Physicians | Commercial|All Plans | $351.54 | ↓ -93% |
| United | Medicaid|< 21 | $1,618.76 | ↓ -69% |
| United | Medicaid|> 21 | $1,618.76 | ↓ -69% |
| Hill Physicians | Medicaid|All Plans | $1,780.64 | ↓ -66% |
| Hill Physicians | Medicare|All Plans | $2,126.87 | ↓ -60% |
| Molina | Medicaid|All Plans | $3,043.27 | ↓ -43% |
| BCBS - Anthem | Medicaid|All Plans | $3,075.64 | ↓ -42% |
| California Health & Wellness | Medicaid|All Plans | $3,755.52 | ↓ -29% |
| Health Net | Medicaid|All Plans | $3,755.52 | ↓ -29% |
| Health Net | Commercial|EPPO | $6,384.00 | ↑ +20% |
| Partnership Health Plan | Medicaid|All Plans | $6,960.67 | ↑ +31% |
| BCBS - Anthem | Medicare|All Other Plans | $7,065.30 | ↑ +33% |
| Humana | Commercial|All Plans | $7,492.37 | ↑ +41% |
| United | Medicare|All Plans | $7,492.37 | ↑ +41% |
| Molina | Medicare|All Plans | $7,492.37 | ↑ +41% |
| Blue Shield CA | Medicare|HMO | $7,492.37 | ↑ +41% |
| Aetna | Medicare|All Plans | $7,492.37 | ↑ +41% |
| Kaiser | Medicare|All Plans | $7,492.37 | ↑ +41% |
| Blue Shield CA | Medicare|PPO | $7,492.37 | ↑ +41% |
| BCBS - Anthem | Medicare|Imperial | $7,717.14 | ↑ +45% |
| BCBS - Anthem | Commercial|Connection EPO | $7,941.00 | ↑ +50% |
| Western Health Advantage | Commercial|All Plans | $8,176.35 | ↑ +54% |
| BrightHealth | Commercial|All Plans | $8,241.61 | ↑ +55% |
| Kaiser | Medicaid|All Plans | $9,578.01 | ↑ +81% |
| BCBS - Anthem | Commercial|All Other Plans | $9,926.00 | ↑ +87% |
| Prison Healthcare | Medicaid|All Plans | $11,238.56 | ↑ +112% |
| Aetna | Commercial|PPO | $11,708.00 | ↑ +121% |
| Aetna | Commercial|All Other Plans | $11,708.00 | ↑ +121% |
| Aetna | Commercial|HMO | $11,708.00 | ↑ +121% |
| Health Net | Commercial|FFS | $11,775.00 | ↑ +122% |
| BCBS - Anthem | Commercial|MCS | $14,393.00 | ↑ +171% |
| Healthsmart | Commercial|All Plans | $16,819.92 | ↑ +217% |
| First Health | Commercial|All Plans | $17,520.75 | ↑ +230% |
| Kaiser | Commercial|All Plans | $18,455.19 | ↑ +248% |
| MultiPlan | Commercial|All Plans | $18,688.80 | ↑ +252% |
| Sutter Health | Commercial|All Plans | $18,688.80 | ↑ +252% |
| United | Commercial|Non-Options PPO | $23,361.00 | ↑ +340% |
Visitor-reported prices
Comments
Thrombectomy/inf pq dialysis circuit at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Methodist Hospital of Sacramento | Sacramento | $7,008.20 | $351.54 – $19,389.63 |
| St. John's Camarillo Hospital | Camarillo | $5,082.99 | $2,449.02 – $13,090.66 |
| Arroyo Grande Hospital | Santa Maria | $13,664.76 | $1,618.76 – $30,936.64 |
| French Hospital | San Luis Obispo | $12,655.72 | $1,618.76 – $29,882.16 |
| Mercy Hospitals – Bakersfield | Bakersfield | $11,153.01 | $1,618.76 – $19,361.60 |
| Bakersfield Memorial Hospital | Bakersfield | $9,349.70 | $1,618.76 – $19,119.58 |
| Queen of The Valley Medical Center | Napa | $9,262.62 | $6,200.00 – $27,307.00 |
| Providence St Joseph Hospital Eureka | Eureka | $5,594.19 | $7,320.30 – $27,307.00 |